I gave birth in March 2025 and used this item every day during my one-week hospital stay, and several times after I was discharged. Therefore, it shows signs of use. Also, there is some wear on the Velcro parts. It is still usable. No packaging is included. I have kept it in a drawer after home cleaning. This is a pet-free and smoke-free home. Please refrain from purchasing if you are sensitive to used items, as this has been stored at home. I will compress it to save space when shipping. I hate to throw it away, so I would be happy if someone could use it. Thank you.